Individual provider · NPI-1

Allison Anne Bannick, NP

Nurse Practitioner, Pediatrics · Grand Rapids, MI

NPI number1821103441
StatusActive
Last updated in NPPESMar 6, 2025

Details

NPI
1821103441
Entity type
Individual (NPI-1)
Name
Allison Anne Bannick
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2006
Certification date
Mar 6, 2025
Last updated
Mar 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704230314MIYes

Practice location

35 Michigan St Ne Ste 3003
Grand Rapids, MI 49503-2528

Phone 616-486-9830

Mailing address

100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560

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